HomeMy WebLinkAbout1987-Building (above grade work) CITY OF OSHKOSH No 03961
PERMIT APPLICATION AND RECORD
YEs
TYPE: BLDG X HTG ELEC PLBG SIGN ZONING k 02, FLOOD PLAIN _eki HEIGHT
ADDRESS 18 o2 gz An M 4 ,S---r. PLAN NO.
OWNER IL N/JOA
DESIGNER
USE /NATURE OF WORK 11.1 C- CIE- P PrEtOK.No& Tit_ C,✓ a
(J (1(c a 6.441_ S r c. f o u CiNnicel /4".44 r r 2.1 75 7 nAFv
,254.0-t-<- r L.oa
BUILDING CONTRACTOR -F_/ti3 AA/DCe-ro,-)
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 7
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuati: P Fee Paid
f Park Dedication Al f
ISSUED BY u. ,AL. _d Date ¢6 87 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
r
SIGNATURE zed .i 41 -1OY! alle
AGENT/OWNER DATE
ADDRESS 3 6 f 'D J g 2
TELEPHONE